Apain MS Tablet
Diclofenac Sodium + Misoprostol
75mg + 200mcg
Kemiko Pharmaceuticals Ltd.
| Pack size | 30's pack |
|---|---|
| Unite Price | 11.00 BDT |
Indications
Apain MS Tablet is used for:
Rheumatoid arthritis, Osteoarthritis, Joint and muscular pains
Adult Dose
Osteoarthritis
50 mg/200 mcg, 75mg/200mcg: 1 tab PO three times daily; not to exceed 200 mcg misoprostol/dose or 800 mcg/day
Rheumatoid Arthritis
50 mg/200 mcg, 75mg/200mcg: 1 tab PO three or four times daily; not to exceed 200 mcg misoprostol/dose or 800 mcg/day
If not tolerated may reduce frequency to twice daily
Three times daily dose of misoprostol is more protective than when given twice daily
Child Dose
Safety & efficacy not established
Renal Dose
Administration
Swallow tablet whole, do not chew or crush
Do not take with antacids
Contra Indications
Diclofenac Sodium and Misoprostol combination is contraindicated in women who are pregnant because of the abortive property of the Misoprostol component.
Precautions
Patients with an underlying condition such as inflammatory bowel disease or those in whom dehydration should be monitored carefully if Diclofenac Sodium 50 mg plus Misoprostol 200 mcg is prescribed.
The pharmacological activity in reducing fever and inflammation may diminish the utility of these diagnostic signs in detecting complications of presumed noninfectious, painful conditions.
Lactation: Enters breast milk; use with caution
Pregnancy-Lactation
Pregnancy Category: X
Lactation: Enters breast milk; use with caution
Interactions
May increase serum levels of methotrexate. Concomitant use w/ other NSAIDs or anticoagulants (e.g. warfarin) is associated w/ higher risk of GI bleeding. Increased risk of nephrotoxicity w/ ciclosporin or triamterene. May increase the risk of developing corneal complications in patients w/ significant pre-existing corneal inflammation when use concomitantly w/ ophth preparation containing corticosteroids. Colestyramine and colestipol reduce the bioavailability of diclofenac. Decreased plasma concentration when administered after sucralfate. Ophth application of diclofenac may reduce the efficacy of ophth acetylcholine and carbachol. May increase serum levels of lithium and digoxin.
May increase effects of oxytocin. Increased risk of misoprostol-induced diarrhoea with magnesium-containing antacids.
Side Effects
Side effects of Diclofenac Sodium + Misoprostol :
>10%
Rash including erythematous, rash macular and maculo-papular (18%), Pyrexia (15%), Urticaria (13%), Flushing (13%)
1-10%
Hypertension (10%), Hyperhydrosis (8%), Decreased oxygen saturation (8%), Cough (8%), Tachypnea (8%), Tachycardia (8%), Urticaria (8%), Anaphylaxis (7%), Chest discomfort (7%), Muscle twitching (7%), Erythema (5%), Vomiting (5%), Rigors (5%), Pallor (5%), Cyanosis (5%), Agitation (5%), Tremor (5%), Myalgia (5%), Flushing (5%), Peripheral edema (3%), Pruritus (3%), Rash, papular (3%), Throat tightness (3%)
<1%
Fatigue, Malaise, Chills, Edema, Atrial fibrillation, Congestive heart failure, Myocardial infarction, Phlebitis, Vasculitis, Syncope, Dysphagia, Enteritis, Peptic ulcer, Vaginitis, Breast pain, Dysmenorrhea, Uterine cramping, Ulcerative stomatitis, Impotence, Perineal pain, Glycosuria, Alopecia
Mode of Action
Diclofenac: Inhibits cyclooxygenase-1 (COX-1) & -2 (COX-2), thereby inhibiting prostaglandin synthesis; has anti-inflammatory, antipyresis, and analgesic properties.
Misoprostol: Replaces protective prostaglandins consumed by prostaglandin-inhibiting therapies (NSAID-induced ulcers).
Note
Apain MS 75mg + 200mcg Tablet generic name is Diclofenac Sodium + Misoprostol. Apain MS 75mg + 200mcg Tablet is manufactured by Kemiko Pharmaceuticals Ltd.Apain MS is availble in all over Bangladesh.
Mes BD drug index information on Apain MS Tablet is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.